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Teacher Registration

Welcome Art Teachers! Please fill out this is the application to apply for your Educator Discount Pricing. For businesses and professional studio artists, please use the Business Wholesale Application instead.

> Required Information - * denotes required field

*First Name: *Last Name:
*Email Address: *Title/Position:
*School or Institution Name: *School District Name:
*Street Address: Street Address 2:
*City: *State/Province:
*Country: *Zip/Postal Code:
*Daytime Phone Number Evening Phone Number
*Are you currently a Delphi Customer?
   Yes    No
If you are a current Delphi customer please enter your customer number:
Grades Taught:
K-5     6-8     9-12     College     Other (specify)

Where did you hear about Delphi?

I would like to receive Delphi's Art Educator E-Mail Newsletter featuring new arts, project and lesson plans, supplies and special offers.

> Optional Information

Main Areas of Interest:
    Stained Glass     Fused Glass     Jewelry     Mosaics
Experience with Stained Glass: Experience with Fused Glass:
Experience with Mosaics: Plan on starting glass art, mosaic or jewelry project to the classroom:
Comments About your School or Institution:

> Login Information - * denotes required field

*Choose a UserName:
*Choose a Password: *Confirm Password:
*Login Hint:
By clicking on the above "Register" button, you are agreeing to Delphi's Educator Terms & Conditions